Raddeanin A augments the cytotoxicity of natural killer cells against chronic myeloid leukaemia cells by modulating MAPK and Ras/Raf signalling pathways

Abstract Natural killer (NK) cell therapy, a developing approach in cancer immunotherapy, involves isolating NK cells from peripheral blood. However, due to their limited number and activity, it is essential to significantly expand these primary NK cells and enhance their cytotoxicity. In this study, we investigated how Raddeanin A potentiate NK activity using KHYG‐1 cells. The results indicated that Raddeanin A increased the expression levels of cytolytic molecules such as perforin, granzymes A and granzymes B, granulysin and FasL in KHYG‐1 cells. Raddeanin A treatment increased CREB phosphorylation, p65 phosphorylation, NFAT1 and acetyl‐histone H3 expression. Raddeanin A elevated caspase 3 and PARP cleavage, increased t‐Bid expression, promoting apoptosis in K562 cells. Furthermore, it reduced the expression of HMGB2, SET and Ape1, impairing the DNA repair process and causing K562 cells to die caspase‐independently. Additionally, Raddeanin A increased ERK, p38 and JNK phosphorylation at the molecular level, which increased granzyme B production in KHYG‐1 cells. Raddeanin A treatment increased Ras, Raf phosphorylation, MEK phosphorylation, NKG2D, NKp44 and NKp30 expression in KHYG‐1 cells. Collectively, our data indicate that Raddeanin A enhances the cytotoxic activity of NK cells against different cancer cells.

[7] Raddeanin A has therefore become a highly intriguing drug development prospect and research into its mechanisms of action and possible therapeutic benefits on human natural killer (NK) leukaemia cells has gained a great deal of attention.NK cells have cytotoxic granules such as PRF1, GZMs and granulysin, which stands out as a key player in NK-mediated cytotoxicity.After reaching target cells, NK cells eliminate target cells by activating death ligands (FasL, TRAIL) or/ and by releasing cytotoxic granules. 8,9Our earlier investigation demonstrated that Shuterin potentiated the cytolytic activity of the human leukaemic NK cell line KHYG-1 by via MAPK and Ras/Raf signalling pathways. 10YG-1 cell line is often used in research related to NK cells due to its characteristics resembling mature NK cells. 11In this present we explored the mechanism by how Raddeanin A potentiate NK activity in KHYG-1 cells.

F I G U R E 1
Raddeanin A activates the cytotoxicity effect in KHYG-1 cells.(A) Chemical structure of Raddeanin A. (B) KHYG-1 cells were treated with Raddeanin A for 72 h and then subjected to WST-8 assays for cell viability assessment.(C) Cytolytic effects of KHYG-1 cells treated with (or without) Raddeanin A for 72 h on K562 cells.Cytotoxicity was determined through the Calcein AM release assay.(D) Levels of IFNγ in the culture supernatants of KHYG-1 cells treated with the indicated dose of Raddeanin A for 24 h, then measured through enzyme-linked immunosorbent assay (ELISA).(E) After 24 h of Raddeanin A treatment, the cytotoxic effectors of the KHYG-1 cells were analysed through western blotting.(F) ImageJ was used for protein quantification; the levels of all proteins were normalized to that of β-Actin.Data were presented as the mean ± standard deviation (n = 3) of three independent experiments.*p < 0.05 compare with control.

| Cell proliferation assay
The effects of Raddeanin A on the proliferation of KHYG-1, K562, NPC-039 and FaDu cells were evaluated through WST-8 assays (Beyotime Technology, Shanghai, China).The cells were seeded onto 96-well plates (5 × 10 4 cells/well), treated with different doses of Raddeanin A (0.25, 0.5 and 1 μM), and cultured with or without IL-2 for 24 or 72 h.Untreated cells were used as experimental controls.Finally, the absorbance was measured at 450 nm to assess cell proliferation.

| Cell cytotoxicity assay
Cell cytotoxicity was assessed using calcein AM.K562 cells cultured in complete RPMI 1640 media were stained with 10 μM F I G U R E 2 Effects of Raddeanin A on CREB, p65, NFAT1 and acetyl histone activity in KHYG-1 cells.(A-F) The cells were treated with Raddeanin A for 24 h.Protein levels of CREB phosphorylation/ CREB, p65 phosphorylation/p65, NFAT1 and acetyl-histone H3/histone H3. (G, H) KHYG-1 cells were pretreated with TSA for 1 h or left untreated; subsequently, the cells were treated with Raddeanin A for 24 h.Protein levels of acetyl-histone H3/ histone H3.ImageJ was used for protein quantification; the levels of all proteins were normalized to that of β-Actin.Data were presented as the mean ± standard deviation (n = 3) of three independent experiments.*p < 0.05 compare with control; # p < 0.05 compare with TSA alone.
calcein AM for 30 min at 37°C under 5% CO 2 .The cells (target cell) were then seeded onto 96-well plates.KHYG-1 cells (effector cells) were treated with indicated doses of Raddeanin A for 72 h.Then, KHYG-1 and K562 cells were cocultured for 2 h (without Raddeanin A).Fluorescence intensity was measured at the excitation/mission wavelength of 485/530 nm.Percent lysis was calculated using the following formula: [(experimental release − spontaneous release)/ (maximum release − spontaneous release)] × 100%.

| Cytokine secretion
KHYG-1 cells were centrifuged at 190 g for 5 min at 4°C.The supernatant was obtained to determine the levels of IFNγ using LEGEND MAX Human IFNγ ELISA Kit (BioLegend, San Diego, CA), as per the manufacturer's instructions.

| Western blotting
Western blotting was performed as per a previously described method.In brief, KHYG-1, K562, NPC-039 and FaDu cells were treated with indicated doses of Raddeanin A for 24 h and lysed using radioimmunoprecipitation assay buffer.The lysates were separated through sodium dodecyl sulfate polyacrylamide gel electrophoresis and transferred onto polyvinylidene fluoride membranes (Merck Millipore).The membranes were incubated with 5% skim milk for 1 h, followed by incubation with appropriate primary antibodies overnight at 4°C (antibodies against perforin #62550, granzyme A #4928, ImageJ was used for protein quantification.

| Mitochondrial membrane potential measurement
Mitochondrial membrane potential assay was described previously. 12iefly, KHYG-1 cells were treated with indicated doses of Raddeanin A, and the treated cells were added to the upper wells of a Transwell insert (Greiner Bio-One, Monroe, NC, USA).K562 cells (in RPMI media) were added to the lower wells of the same insert and incubated according to previously described coculture methods. 13The effector cells were cocultured with the target cells at an effector: target (E: T) ratio of 6:1 for 24 h at 37°C under 5% CO 2 .After treatment with Raddeanin A, the cells were collected and stained with Muse MitoPotential dye (Merck Millipore) for 20 min at 37°C, followed by incubation with 7-AAD for 5 min and measurement of experimental signals by Muse Cell Analyser flow cytometry (Merck Millipore), and the data were analysed by Muse Cell Soft V1.4.0.0 Analyser.

| Annexin V/PI double staining
The Annexin V/PI double stain of apoptosis detection was described previously. 14KHYG-1 cells were treated with indicated doses of Raddeanin A and added to the upper wells of a Transwell insert (Greiner Bio-One).K562 cells (in RPMI media) were added to the lower wells of the same insert and incubated according to previously described coculture methods. 13The effector cells were cocultured with the target cells at an effector: target (E: T) ratio of 6:1 for 24 h at 37°C under 5% CO 2 .After treatment with Raddeanin A, the cells were collected and resuspended in 100 μL PBS with 2% BSA.Annexin V/PI double stain (Merck Millipore) was added to the cell suspension and incubated for 20 min at room temperature in the dark.Cell apoptosis stage was measured by Muse Cell Analyser flow cytometry (Merck Millipore), and the data were analysed by Muse Cell Soft V1.4.0.0 Analyser.

| Statistical analysis
Each experiment was performed at least thrice.The data are presented as mean ± standard deviation.One-way analysis of variance and Student's t tests were performed.A p value of <0.05 indicated F I G U R E 3 Raddeanin A-treated NK cells enhance apoptosis in K562 cells.Raddeanin A induced apoptosis in cocultured K562 cells.KHYG-1 cells were pretreated with Raddeanin A for 24 h before being transferred to a co-culture system.(A and B) Mitochondrial membrane potential assay and (C and D) annexin V/PI stain assay of K562 cells were measured after Raddeanin A treatment by Muse Cell Analyser.Quantitative data were analysed by Muse Cell Software V1.4.0.0.(E) Fas protein levels of Raddeanin A-induced apoptosis.K562 cells were cocultured with KHYG-1 cells at an effector: Target ratio of 6:1 And then treated with Raddeanin A for 24 h.(F) K562 cells were treated with Raddeanin A for 24 h.Cell viability was assessed using WST-8 assays.(G, H) Protein levels of Raddeanin A-induced apoptosis.K562 cells were cocultured with KHYG-1 cells at an effector: Target ratio of 6:1 And then treated with Raddeanin A for 24 h.ImageJ was used for protein quantification; the levels of all proteins were normalized to that of β-Actin.Data were presented as the mean ± standard deviation (n = 3) of three independent experiments.*p < 0.05 compare with control; # p < 0.05 compare with cotreatment control.statistical significance.Sigma-Stat 2.0 (Jandel Scientific, San Rafael, CA, USA) was used for the data analysis.

| Effect of Raddeanin A on KHYG-1cells
KHYG-1 cells were treated with different concentration of Raddeanin A (0.25, 0.5 and 1 μM) for 72 h and analysed for cell viability using to WST-8 assay.No significant changes were observed between control and treatment group (Figure 1B).Cytolytic effects of KHYG-1 cells treated with (or without) Raddeanin A for 72 h.As shown in Figure 1C, Raddeanin A treatment greatly increased cytotoxicity in KHYG-1 cells at 1 μM concentration.IFNγ secretion was assessed in Raddeanin Atreated cells.The therapy boosted IFNγ secretion based on dosage (Figure 1D).Raddeanin A was tested for its influence on perforin, granzyme A, granzyme B, FasL and IFNγ transcriptional activation using western blotting.Raddeanin A treatment increased perforin, granzyme A, granzyme B and FasL protein expression (Figure 1E,F).

| Raddeanin A alters CREB, p65, NFAT1 and acetyl histone expression
Granzyme B expression can be influenced by the transcriptional activity regulated by CREB, p65 and NFAT1. 15,16To investigate whether    G, H) Protein levels of Raddeanin A-induced apoptosis.NPC-039 cells were cocultured with KHYG-1 cells at an effector: Target ratio of 6:1 And then treated with Raddeanin A for 24 h.ImageJ was used for protein quantification; the levels of all proteins were normalized to that of β-Actin.Data were presented as the mean ± standard deviation (n = 3) of three independent experiments.*p < 0.05 compare with control; # p < 0.05 compare with cotreatment control.

F I G U R E 6 Raddeanin A induces granzyme expression through MAPK pathway in KHYG-1 cells. (A, B) Cells
were pretreated with inhibitor (Z-AAD-CMK) for 1 h or left untreated; subsequently, these cells were treated with Raddeanin A for 24 h.Protein levels were quantified through western blotting and were normalized to β-Actin level using a densitometer.(C) The cells were treated with Raddeanin A for 24 h.(D) Protein levels of AKT phosphorylation/ AKT, ERK phosphorylation/ERK, p38 phosphorylation/p38 and JNK phosphorylation/JNK. (E-H) Cells were pretreated with various inhibitors (LY-294002 (LY)/AKT, U0126/ERK, SB-203580 (SB)/P38 and SP-600125 (SP)/JNK) for 1 h or left untreated; subsequently, these cells were treated with Raddeanin A for 24 h.Protein levels were quantified through western blotting and were normalized to β-Actin level using a densitometer.*p < 0.05 compare with control; #p < 0.05 compare with inhibitortreated cells.

| Raddeanin A triggered Ras/Raf/MEK pathway, leading to increased IFNγ expression in NK cells
After establishing that Raddeanin A enhanced cytotoxicity in KHYG-1 cells, we performed the same studies on NK cells derived from adult patients with head and neck squamous cell cancer.As observed in Figure 8A,B NKG2D and NKp44 protein-two main activating receptors of NK cells, therefore we verified for this receptor protein expression in NK cells.As shown in Figure 8G,H, Raddeanin A treatment increased NKG2D and NKp44 proteins expression in NK cells.Interactions between these receptors and their ligands are involved in NK-mediated cytolytic activity and IFNγ production. 17,18NK cells were treated with Raddeanin A and analysed for cell viability and cytolytic activity.After Raddeanin A treatment did not induce cell viability (Figure 8I), but increased IFNγ expression in NK cells (Figure 8J).To improve NK cell-based immunotherapy, we investigated how Raddeanin A regulates NK cells.We investigated if Raddeanin A increased IFNγ production because it is known that NK cells produce this immune response component.Results showed that Raddeanin A did not affect cell proliferation but increased IFNγ production (Figure 1) The extrinsic and intrinsic apoptotic pathways are two in which NK cells take part.By secreting cytotoxic granules containing chemicals such as granzyme, granulysin and perforin into the intercellular space between NK and target cells, they cause the target cells to undergo apoptosis.Granzymes A (gA) 19 and B (gB), 20  Next, we evaluated how Raddeanin A affected the expression of NFAT1, p65 and CREB phosphorylation.Raddeanin A increased CREB and p65 phosphorylation and NFAT1 expression.Furthermore, we investigated whether Raddeanin A influenced chromatin regulation.Our results showed that, Raddeanin A treatment increased histone acetylation; combined treatment with TSA further increased this effect.Our findings are similar to previous findings on nobiletin 23 and Shuterin 13 -treated KHYG-1 cells.Furthermore, to investigate the impact of Raddeanin A, we employed K562 cells as target cells and KHYG-1 cells as effector cells.It was observed that KHYG-1 cells treated with Raddeanin A caused K562 cells mitochondrial membranes to depolarize and increased the number of apoptotic cells.Nevertheless, no change in cell viability was seen when K562 cells were treated with Raddeanin A without also co-culturing with KHYG-1 cells (Figure 3F).These findings strongly suggest that K562 cell death is caused by Raddeanin A's cytotoxic effects on KHYG-1 cells.

Our results clearly indicate that
Raddeanin A induces apoptosis in co-cultured K562 cells by both caspase-dependent and caspase-independent mechanisms, as shown in Figure 3E,G,H.Raddeanin A triggers apoptosis in co-cultured K562 cells through both caspase-dependent and independent pathways.We observed comparable mechanisms of action of Raddeanin A against nasopharyngeal carcinoma and squamous cell carcinoma, as depicted in Figures 4 and 5.
In our current investigation, we noted that pretreating with granzyme B inhibitor resulted in the reduction of Raddeanin Ainduced increase in granzyme B expression (Figure 6A

| CON CLUS ION
Finally, we noticed that the effects of Raddeanin A were consistent between KHYG-1 cells and NK cells derived from adult patients with HNSCC.Our findings demonstrated comparable effects of Raddeanin A between KHYG-1 cells and NK cells from adult patients with HNSCC (refer to Figure 8).In conclusion, Raddeanin A significantly increased IFNγ expression, the Ras/Raf signalling pathway and higher NK receptors expression were also observed.

ACK N OWLED G EM ENTS
This study was supported by grants from the Changhua Christian Hospital, Changhua City, Taiwan (112-CCH-IRP-007; 113-CCH-IRP-005).The authors of the manuscript do not have a direct financial relation with the commercial identity mentioned in this paper.
Raddeanin A regulates granzyme B expression, we treated KHYG-1 cells with Raddeanin A and subsequently examined the phosphorylation of CREB, p65, as well as the levels of NFAT1.Raddeanin A treatment increased CREB phosphorylation, p65 phosphorylation and NFAT1 expression in the KHYG-1 cells (Figure 2A-D).Raddeanin A markedly increased acetyl-histone H3 (Lys9/Lys14) expression, allowing transcription factors such as CREB, p65 and NFAT1 to access DNA and promote gene transcription.(Figure 2E,F).Cells pretreated with TSA dramatically increased acetyl histone H3 expression in comparison to the control group (Figure 2G,H).
Figure 3E,G.Furthermore, as shown in Figure 3H, Raddeanin A increased t-Bid, cleaved caspase 9, 3, 8 and cleaved PARP expression.These findings suggest that Raddeanin A may initiate both caspasedependent and independent cell death pathways in cocultured K562 cells, hence causing apoptosis.We carried out comparable studies with the FaDu and NPC-039 cell lines to see if these effects of Raddeanin A are unique to cancer patients.Raddeanin A-treated FaDu cells and Raddeanin A-treated NPC-039 cells showed a substantial increase in mitochondrial membrane depolarization and apoptosis (Figure 4A-D) (Figure 5A-D), which was similar to what was seen in K562 cells (Figure 3).Though, no cell death was observed in Raddeanin A treated FaDu cells (Figure 4F) and Raddeanin A treated NPC-039 cells (Figure 5F).Furthermore, Raddeanin A treatment increased Fas, cleaved PARP, cleaved caspase 3, 9, 8 and t-Bid expression and decreased SET, Ape1 and HMGB2 expression in cocultured FaDu cells (Figure 4E,G,H) and in cocultured NPC-039 cells (Figure 5E,G,H).Out study shows that, Raddeanin A treated KHYG-1 cells have the capability to induce cytotoxic effects on FaDu and NPC-039 cancer cells as well, indicating a potential broader application of Raddeanin A in cancer treatment.
Raddeanin A treatment increased granzyme B expression in KHYG-1 cells was inhibited by Z-AAD-CMK pretreated cells (Figure6A,B).We further investigated the effect of Raddeanin A on ERK, p38, JNK and AKT protein expressions level.As shown in Figure6C,D, Raddeanin A treatment induced ERK, p38 and F I G U R E 4 Raddeanin A-treated NK cells enhance apoptosis in FaDu cells.(A, B) Mitochondrial membrane potential assay and (C, D) annexin V/PI stain assay of FaDu cells were measured after Raddeanin A treatment by Muse Cell Analyser.Quantitative data were analysed by Muse Cell Software V1.4.0.0.(E) Fas protein levels of Raddeanin A-induced apoptosis.FaDu cells were cocultured with KHYG-1 cells at an effector: Target ratio of 6:1 And then treated with Raddeanin A for 24 h.(F) FaDu cells were treated with Raddeanin A for 24 h.Cell viability was assessed using WST-8 assays.(G, H) Protein levels of Raddeanin A-induced apoptosis.FaDu cells were cocultured with KHYG-1 cells at an effector: Target ratio of 6:1 and then treated with Raddeanin A for 24 h.ImageJ was used for protein quantification; the levels of all proteins were normalized to that of β-Actin.Data were presented as the mean ± standard deviation (n = 3) of three independent experiments.*p < 0.05 compare with control; # p < 0.05 compare with cotreatment control.JNK phosphorylation and decreased the phosphorylation of AKT in KHYG-1 cells.In order to confirm if Raddeanin A induced the production of granzyme B via the MAPK and AKT signalling pathways, we then pretreated KHYG-1 cells with various inhibitors, such as LY-294002, U0126, SP-600125, or SB-203580, before treating them with Raddeanin A. Granzyme B expression was decreased in KHYG-1 cells treated with Raddeanin A and MAPK inhibitors in combination, as seen in Figure 6E-H, in comparison F I G U R E 5 Raddeanin A-treated NK cells enhance apoptosis in NPC-039 cells.(A, B) Mitochondrial membrane potential assay and (C, D) annexin V/PI stain assay of NPC-039 cells were measured after Raddeanin A treatment by Muse Cell Analyser.Quantitative data were analysed by Muse Cell Software V1.4.0.0.(E) Fas protein levels of Raddeanin A-induced apoptosis.NPC-039 cells were cocultured with KHYG-1 cells at an effector: Target ratio of 6:1 And then treated with Raddeanin A for 24 h.(F) NPC-039 cells were treated with Raddeanin A for 24 h.Cell viability was assessed using WST-8 assays.( to the Raddeanin A treatment alone.According to our research, Raddeanin A modifies the MAPK signalling pathway to raise granzyme B expression in KHYG-1 cells.KHYG-1 cells were treated with Raddeanin A and then analysed for Ras/Raf/MEK expression.Raddeanin A progressively elevated the Raf and MEK phosphorylation and Ras expression levels in KHYG-1 cells (Figure 7A,B).We then analysed for activating receptors NKp30, NKp46 and NKG2D in Raddeanin A treated KHYG-1 cells.Raddeanin A treatment increased NKG2D, NKp44 and NKp30 protein expression compared with the control group (Figure 7C,D).
, Raddeanin A treatment significantly increased granzymes A and B expressions.Raddeanin A treatment dose-dependently increased CREB, p65 phosphorylation and NFAT1 protein expression in NK cells (Figure 8C,D).Furthermore, we observed that the Raddeanin A treatment increased ERK, Ras phosphorylation and Raf expression levels in NK cells (Figure 8E,F).
Raddeanin A exerts similar effects in both KHYG-1 cells and NK cells derived from healthy donors.4 | DISCUSS ION The present study elucidates the cytotoxic effects of Raddeanin A, a naturally occurring flavonol compound, on KHYG-1 cells against K562 cells.Raddeanin A enhances the expression of various cytolytic effectors such as perforin, granzymes A and B and FasL through CREB-mediated pathways.This augmentation enables KHYG-1 cells to induce mitochondrial membrane depolarization and apoptosis in F I G U R E 7 Raddeanin A activates Ras-Raf pathway and receptor expressions in KHYG-1 cells.(A-D) Effects of Raddeanin A treatment (24 h) on the proteins involved in the Ras, Raf phosphorylation/Raf, MEK phosphorylation/MEK, NKG2D, NKp44 and NKp30 in KHYG-1 cells.ImageJ was used for protein quantification; the levels of all proteins were normalized to that of β-Actin.Data are presented as mean ± standard deviation (n = 3).*p < 0.05 compare with control.F I G U R E 8 Raddeanin A activates the cytotoxicity effect of NK cells in head and neck cancer patients.(A-H) Effects of Raddeanin A treatment (24 h) on the proteins involved in the granzyme A, granzyme B, p65 phosphorylation/p65, NFAT1, CREB phosphorylation/ CREB, ERK phosphorylation/ERK, Ras, Raf phosphorylation/Raf, NKG2D and NKp44 in NK cells obtained from the adult donors with head and neck squamous cell carcinoma (HNSCC).(I) Assessment of cell viability of NK cells treated with Raddeanin A for 24 hours using WST-8 assay (J) Measurement of IFNγ levels in NK cell culture supernatants treated with Raddeanin A for 24 hours using an enzyme-linked immunosorbent assay (ELISA).ImageJ was used for protein quantification; the levels of all proteins were normalized to that of β-Actin.Data are presented as mean ± standard deviation (n = 3).*p < 0.05 compare with control.K562 cells.Furthermore, Raddeanin A induces cell death in K562 cells via both caspase-dependent (involving t-Bid, cleaved caspase 3 and cleaved PARP) and caspase-independent pathways (involving SET, Ape1 and HMGB2).Similar effects have been observed in different cancer cell types.Mechanistically, Raddeanin A enhances ERK, p38 and JNK phosphorylation, leading to increased granzyme B expression in KHYG-1 cells, consequently facilitating the lysis of K562 cells.Overall, this study underscores the unique role of Raddeanin A in enhancing NK cell cytotoxicity against various cancer cell lines.
are the most prevalent among these, prompting apoptosis in target cells via both caspase-dependent/ independent pathways.Additionally, NK cells generate cytotoxic cytokine-IFNγ.IFNγ modulates members of the tumour necrosis factorα cytokine family, including FasL and TRAIL. 21,22In this study, Raddeanin A demonstrated a moderate induction of perforin and granzyme A expression.Notably, treatment with Raddeanin A significantly boosted granzyme B and FasL protein expression.These results suggest that Raddeanin A increases the production of cytotoxic effectors, which in turn increases NK cytolytic activity.Particularly, the substantial elevation of granzyme B induced by Raddeanin A appears crucial for augmenting KHYG-1 cytolytic activity.
,B).Given the substantial impact of Raddeanin A on granzyme B expression, we decided to explore the association of the MAPK pathway in this context.Our results demonstrated that Raddeanin A notably enhanced the phosphorylation of key components of the MAPK pathway, including ERK, p38 and JNK, in KHYG-1 cells (Figure 6C,D).Furthermore, we observed that co-administering KHYG-1 cells with Raddeanin A and MAPK inhibitors significantly attenuated Raddeanin A-induced induction in granzyme B expression (Figure 6E-H).Raddeanin A notably enhanced the expression levels of Ras, as well as the phosphorylation of Raf and MEK in KHYG-1 cells.In this study, Raddeanin A elicited Ras expression and the phosphorylation of Raf and MEK, as illustrated in Figure 7A,B.The activating receptors NKp30, NKp46 and NKG2D 24,25 are present on the surfaces of KHYG-1 cells.NKp30, NKp44 and NKp46 receptors remain crucial for the strong NK cell activation and NK cell-mediated destruction of transformed cancer cells. 26,27As shown in Figure 7C, NK receptors -NKp30, NKp46 and NKG2D were significantly increased after Raddeanin A treatment.